FDA Adverse Event Injury Summary report: N

UNKNOWN VICRYL RAPIDE SUTURE

MDR report key: 7468914 · Received April 27, 2018

Report

Report Number
2210968-2018-72387
Event Type
Injury
Date Received
April 27, 2018
Report Date
April 2, 2018
Manufacturer
ETHICON INC.
Product Code
GAM
PMA / PMN Number
K033746
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

TITLE: DOES THE SINGLE PORT ACCESS INCREASE THE MORBIDITY RELATED TO THE INCISION IN THE EARLY AND LATE POSTOPERATIVE PERIOD? AUTHORS: SOCAS-MACIAS M., MORALES-CONDE S., ALARCON DEL AGUA I., NAVAS CUELLAR A., JIMENEZ G., GARCIA J., MENDEZ C., CADET H., PADILLO RUIZ J. AND BARRANCO MORENO A. CITATION: SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES. 2014 APR; CONFERENCE: 21ST INTERNATIONAL CONGRESS OF THE EUROPEAN ASSOCIATION FOR ENDOSCOPIC SURGERY, EAES 2013. VIENNA AUSTRIA. CONFERENCE PUBLICATION: (VAR.PAGINGS). 28 (SUPPL. 1) :S5; DOI HTTPS://DOI.ORG/10.1007/S00464-014-3483-0. THE AIM OF THIS STUDY WAS TO ANALYZE THE MORBIDITY RELATED TO SINGLE-PORT ACCESS (SPA), AS WELL AS THE RISK OF DEVELOPMENT AN INCISIONAL HERNIA AFTER APPLYING A 'PROTOCOL TO CLOSE THE SPA', BASED ON PATIENT'S CHARACTERISTICS AND THE TECHNICAL DIFFICULTY OF CLOSING THE FASCIAL DEFECT. DURING THE PROCEDURE, A TRANSUMBILICAL INCISION BETWEEN 1.5-3 CM. THE AUTHORS APPLIED THE PROTOCOL TO CLOSE THE SPA FASCIAL INCISION, WITH POSTERIOR CLOSURE OF THE SKIN WITH SINGLE STITCHES OF VICRYL-RAPID 2/0. COMPLICATIONS REPORTED WERE 6 SEROMAS WHICH WAS SOLVED AFTER MEDICAL TREATMENT, AND 5 SURGICAL WOUND INFECTION WHICH NEEDED TO BE DRAINED, ALL OF THEM AFTER COLONIC SURGERY. THERE WERE ALSO 3 CASES OF INCISIONAL HERNIAS, IN PATIENTS IN WHICH A PROPHYLACTIC MESH WAS NOT USED. IN CONCLUSION, NEITHER TRANS-UMBILICAL INCISION NOR MESH PLACEMENT SEEMS TO INCREASE THE MORBIDITY RELATED WITH THE SPA IN THE EARLY POSTOPERATIVE PERIOD. A TAILORED APPROACH TO CLOSE THE FASCIAL DEFECT IN THE SPA SEEMS TO ELIMINATE THE RISK OF INCISIONAL HERNIA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
310328 UNKNOWN VICRYL RAPIDE SUTURE SUTURE, ABSORBABLE, SYNTHETIC GAM ETHICON INC.

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention